Individual provider Active NPI

Crista M Ziccardi, DPM

  • Podiatrist
  • Anderson, SC
National Provider Identifier
1215224100
Registry record updated Nov 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
639 Issued in SC
Practice address
2126B N Highway 81
Anderson, SC 29621-1532
Phone
(864) 231-6395
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00314500 NJ
Podiatrist 213E00000X SC006333 PA
Podiatrist 213E00000X 639 SC Primary

Addresses

Primary practice location

2126B N Highway 81
Anderson, SC 29621-1532

Mailing address

2126B N Highway 81
Anderson, SC 29621-1532
Phone (864) 231-6395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811000517 SC Practitioner - Podiatry 4284851577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Podiatry Group of Anderson, PAGroup PAC ID 4981741360, 7 clinicians

Practice addresses (Care Compare)

2126BN Hwy 81
Anderson, SC 29621-1532
Phone (864) 231-6395

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
63.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions146
Removal of nail tissue1806
Removal or shaving of skin growth461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00314500NJMDPodiatrist
SC006333PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Podiatry Group of Anderson, PA Podiatrist CurrentSince May 25, 2014 Accepting new patients
Palmetto Podiatry Group of Anderson, PA Podiatrist CurrentSince May 25, 2014 Accepting new patients
Palmetto Podiatry Group of Anderson, PA PastSince Apr 14, 2024 Accepting new patients

Locations

2126B Highway 81 N
Anderson, SC 29621
Phone (864) 231-6395

2126 Highway 81 N
Anderson, SC 29621
Phone (864) 226-2660

2126 Highway 81 N
#B
Anderson, SC 29621
Phone (864) 231-6395

Interoperability endpoints

  • Direct secure messaging: cziccardi@usfas.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447459200000",
    "number": "1215224100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126B N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211532",
            "telephone_number": "864-231-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126B N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211532",
            "telephone_number": "864-231-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICCARDI",
        "first_name": "CRISTA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2015-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00314500",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006333",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.